12-100348City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ST CROIX APAR
Project Address: 32109 20TH LN SW Bldg 07
wilding - Multi FawiiF
Per it #: 12 -100348 -00 -MF
7 (Phase 1)
Inspection Request Line: (253) 835-3050
Parcel Number: 132103 9101
Project Description: REP - Remove existing shingle roof and replace with shingles. Install 301b felt, ice and
water shield. All metal flashing, 30 yr certainteed shingle.
Owner
i nt
Contracto
Lender
LEEWARD STRATEGIC
CENTIMARK
CENTIMARK
LEEWARD STRATEGIC
PROPERTIES
3416 'B" ST NW SUITE D
CENTIC*009NZ (6/16/13)
PROPERTIES INC
4 EMBARCADERO CENTER SUITE
AUBURN WA 98001
3416 'B" ST NW SUITE D
4 EMBARCADERO CENTER SUITE 1
SAN FRANCISCO CA 94111
AUBURN WA 98001
SAN FRANCISO CA 94111
Census Category: 555 - Non-structural roofing permits
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 0 0
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0
Mechanical to be Included?...................................No Number of Stories.................................................2
Permit for Building Shell Only? .............................No Plumbing to be Included? ....................................... No
New / Additional Sq. Feet - Total .......................... 0 Zoning Designation ................................................ RM 1800
PERMIT EXPIRES Tuesday, July 24, 2012
Permit Issued on Thursday, January 26, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
See ���� � onIWay.
Owner or agent: Date:
JAN 19 2012
r/mv,60 31grAzo
• THIS CARD IS TOMAIN ON-SITE
eMY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -100348 -00 -MF Address: 32109 20TH LN SW Bldg 07
Project: LEEWARD STRATEGIC PROPERTI FEDERAL WAY, WA 98023
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
Roof Sheathing (4220) lo Final - Building (4050)
iApproved to install roofing Approved
Date - Z I I By y Date 3-7-1y
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
t1�
CnY®\2 PERMIT
Federal Way `� s MF co ME
CG
COMMUNITY DEVELOPMENT SERVICES
253-835-360 i #9PLICATION
�/
•FAX 253-835.2609 C `
icwir.cituolledemlu�ay.::vm � � C �Oe
c 7
PL DE EN FP
-Jqs
SITE ADDRESS
x,210 9 �L oTl-4 1-ki Sty./
SUITEJUNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Nanwl ffomeowner Last Name)
PROJECT DESCRIPTION
Detailed description of tuork to
t^ t
F
be included on this permit only
PROPERTY OWNER
NAMEPRIMARY
ir,5 h4c bly,
PHONE
MAILING ADDRESS
i S 6,119 G�-
E-MAIL
CITY L
f"1"4 S / G�
STATE
ZIP
NAMjj�PHONE
ass -us -3
MAILING ADDRESS ; \
3q/1� e_—
E-MAIL
CONTRACTOR
C STATE-,
ZI�� I
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME /
PH -��'04��
j
MAILING DRESS 1 ^
E-MAIL
APPLICANT
CI
STAT
ZIP
FAX
PROJECT CONTACT
r1he individual to receive and
respond to all correspondence
concerning this application)
NAME, / /� / /
-A ` !2(
PHONE
MAILING DRESS
CM X S f_ �xf,' _fes `' L>
E-MAIL
C u � �✓i�-
STATE ,
ZIP � „ _ /
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5.000 or more
(RCW 19.27.095)
MAILING ADDRESS. CITY. STATE. ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the ir}jormation submitted in support of this permit application is true and correct. I certify that I will comply with
allapplicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
[further agree to hold harmI the of deral Way as to any claim (including costs. expenses, and attorneys' fees incurred in
the investigation and defense of u airy ich may be made by any person. including the undersigned, and filed against the city.
but only where such cl 'm ut o he reliance of the city. including its officers and employees, upon the accuracy of the
ir}formation supplied to h a of this application.
SIGNATURE: DATE
J.
PRINT NAME: 4 2
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\Handouts\Perinit ,application
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